Discourse markers have variant degrees of semantic meaning; they are utterance-initial; and they can signal a discourse relationship or signal a writerâs or a speakerâs attitude. When we are planning to write a well-organized text, cohesion and coherence must be taken into
Koilonychia can also be caused by medical conditions created by unbalanced diets, problems with absorption, inadequate intake of nutrients, inability to digest nutrients, digestive issues, or anything that is capable of hindering the proper development of nails, nail biting included.
Thus, hypokalemia is both a cause and a frequent consequence of metabolic alkalosis. Causes are listed; the most common are volume depletion (particularly when involving loss of gastric acid and chloride [Cl] due to recurrent vomiting or nasogastric suction) and diuretic use (see Table: Causes of Metabolic Alkalosis).